If your patient has not heard from our office within two (2) days of submitting this referral form, please have them call our New Patient Coordinator at (864) 527-2333.

We cannot schedule your patient’s appointment without this completed form, patient office notes, all labs or x-rays, and a copy of the patient’s insurance card(s).

If you would prefer to download this form and fax or mail it to our office, Click Here.

Please fill out our online form.